<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2954-3835</journal-id>
<journal-title><![CDATA[Cardiovascular and metabolic science]]></journal-title>
<abbrev-journal-title><![CDATA[Cardiovasc. metab. sci]]></abbrev-journal-title>
<issn>2954-3835</issn>
<publisher>
<publisher-name><![CDATA[Asociación Nacional de Cardiólogos de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-38352023000200054</article-id>
<article-id pub-id-type="doi">10.35366/111547</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Single ventricle in a 28-year-old adult, history and present of a non-surgical heart]]></article-title>
<article-title xml:lang="es"><![CDATA[Ventrículo único en adulto de 28 años de edad, historia y actualidad de un corazón no quirúrgico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Morales]]></surname>
<given-names><![CDATA[Juan Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Becerra-Gutiérrez]]></surname>
<given-names><![CDATA[César Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cazares-Hernández]]></surname>
<given-names><![CDATA[Kevin Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palomares-Alonso]]></surname>
<given-names><![CDATA[Víctor Isidro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Guadalajara Centro Universitario del Sur ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional de Occidente ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Guadalajara Centro Universitario del Sur ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Clínica Hospital No. 24 Ciudad Guzmán ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>54</fpage>
<lpage>58</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-38352023000200054&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-38352023000200054&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-38352023000200054&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  the single ventricle is a rare pathology within adult congenital heart disease. This is a group of severe abnormalities of the heart structure that follow developmental errors, resulting in a single ventricular chamber. In this population, pharmacological measures are ineffective in preventing progression to end-stage heart failure. However, surgical procedures help to extend survival and quality of life.  Objective:  to report the case of congenital heart disease with low prevalence.  Clinical case:  the case of a 28-year-old man with a history of cyanogenic congenital heart disease, univentricular heart type with undetermined morphology and double outflow tract is presented; the patient was diagnosed since his first year of life, which has only received medical management.  Conclusions:  unfortunately, being a rare congenital heart disease in adults, there are few references to medical management. If they are not submitted to surgical intervention at an early age, which offers a greater quality of life and survival, some patients die during infancy due to heart failure.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el ventrículo único es una patología poco frecuente dentro de las cardiopatías congénitas en el adulto. Este es un grupo de anomalías graves de la estructura del corazón tras un mal desarrollo, que da como resultado una sola cámara ventricular. En esta población las medidas farmacológicas son poco eficaces para evitar la progresión de una falla cardiaca terminal; sin embargo, existen procedimientos quirúrgicos que ayudan a alargar la supervivencia y la calidad de vida.  Objetivo:  reportar el caso de una cardiopatía congénita en el adulto de baja prevalencia.  Caso clínico:  se presenta el caso de un hombre de 28 años con antecedente de cardiopatía congénita cianógena de tipo corazón univentricular de morfología indeterminada con doble vía de salida diagnosticada desde su primer año de vida, que ha llevado solamente manejo médico.  Conclusiones:  desafortunadamente, al ser una cardiopatía congénita poco frecuente en los adultos, existen pocas referencias sobre su manejo médico. Si no son sometidos a intervención quirúrgica en edades tempranas, lo que ofrece mayor calidad de vida y supervivencia, algunos pacientes fallecen durante la lactancia debido a insuficiencia cardiaca.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[univentricular heart]]></kwd>
<kwd lng="en"><![CDATA[pulmonary arterial hypertension]]></kwd>
<kwd lng="en"><![CDATA[congenital heart disease]]></kwd>
<kwd lng="en"><![CDATA[complex single ventricle]]></kwd>
<kwd lng="es"><![CDATA[ventrículo único]]></kwd>
<kwd lng="es"><![CDATA[hipertensión arterial pulmonar]]></kwd>
<kwd lng="es"><![CDATA[defectos cardiacos congénitos]]></kwd>
<kwd lng="es"><![CDATA[ventrículo único complejo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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